Individual provider · Type 1 NPI
Destiny Pyle
Mental Health Clinic/Center (Including Community Mental Health Center) · Prescott Valley, AZ
NPI number
1760152037
Active
Practice location
8128 E Hwy 69, 111
Prescott Valley, AZ 86314
Mailing address
4500 N Carla Vista Dr
Prescott Valley, AZ 86314-7306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1760152037
Destiny Pyle's National Provider Identifier is 1760152037, issued on Sep 17, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Prescott Valley, AZ. The record was last updated on Sep 17, 2021.